减少无家可归精神疾病患者频繁使用急诊室的策略:范围审查
Rebekah A Davis1, Max Lookabaugh2, Kimberly Christnacht2
1University of Colorado School of Medicine, 13001 E 17 Pl, Aurora, CO, 80045, USA. Rebekahadavis7@gmail.com.
住房支持和护理管理等干预措施可以减少精神健康状况的无家可归者 (PEH) 访问急诊室 (ED). 针对个体需求的量身定制方法在降低医疗负担方面表现最有前途.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
背景情况:
- 美国的高紧急部门 (ED) 使用压迫医疗保健资源并增加成本.
- 精神健康状况的无家可归者 (PEH) 经常使用ED,加剧了这些挑战.
- 了解有效的干预措施对于管理这一群体的医疗保健需求至关重要.
研究的目的:
- 审查和综合有关旨在减少患有精神疾病的PEH使用ED的干预方法的文献.
- 确定共同的干预类别并评估它们的有效性.
- 突出影响干预成功的因素,并建议未来的研究方向.
主要方法:
- 进行了关于高ED使用者及其症状的非正式文献审查.
- 按照PRISMA指南进行了范围审查,搜索了PubMed,科学网和谷歌学者.
- 选了1574个标题/摘要,审查了49个完整文本,并包括14项评估精神疾病PEH干预措施的研究.
主要成果:
- 确定了两个主要干预类别:住房支持和护理管理.
- 研究表明,住房和护理管理策略的成功率各不相同.
- 针对参与者的独特需求的量身定制干预措施在减少急救诊所和住院治疗方面产生了最大的影响.
结论:
- 为了减少患有精神疾病的PEH中ED使用的干预措施已经存在,住房支持和护理管理是关键领域.
- 干预结果受到人口特点,社区资源和心理社会因素的影响.
- 需要进一步的研究来优化针对特定人群的策略,并促进健康公平.
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